Minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage.doc

 PAGE \* MERGEFORMAT 10 Minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage Of: Tanggui Yi, Shi Jiaqing, Wu Choi [Keywords:] minimally invasive surgery, hypertension, cerebral hemorrhage Intracranial hematoma caused by a variety of reasons, particularly in the elderly hypertensive cerebral hemorrhage is common disease, cerebral hemorrhage acute onset, high mortality and disability. Traditional craniotomy, major brain damage, brain severe edema, mortality, high morbidity [1]. intracranial hematoma removal technique is minimally invasive treatment of intracranial hematoma and effective method. our hospital in August 2003 the introduction of YL 1 type of intracranial hematoma puncture for intracranial crush Skull hematoma puncture and drainage in patients with treatment, good results are reported below. Materials and Methods 1. General Information The group of 68 patients with hypertensive cerebral hemorrhage, cerebrovascular disease are in line with the Fourth National Conference revised diagnostic criteria of hypertensive cerebral hemorrhage, and were confirmed by CT examination. Among them, 47 cases of male and 21 female patients aged 36 to 86 years, average 56.8 years old. have a clear history of hypertension, history of 6 to 38 years. GCS score of 13 to 15 minutes and 18 cases, 9 to 12 minutes and 32 cases, 3 to 8 minutes and 18 cases. by CT examination: hematoma parts: the brain leaves 18 cases, 43 cases of basal ganglia, including 15 cases of breaking into the ventricular system, cast ventricle in 6 cases, 8 cases of cerebral hemorrhage. hematoma volume: calculated according to the amount of bleeding Tada: 30 ~ 50 ml 36 , 50 ~ 80 ml 23 cases, 80 ml or more in 9 cases. 2. Treatment Head CT images to the maximum level of hematoma Center as a target, avoiding large blood vessels and important functions of the cortex area, select the center close to the scalp hematoma location was away from the puncture point,